Pharmacy news
Prior authorization changes coming for diabetic insulin supplies
Medicare prior auth changes coming for diabetic insulin supplies
Formulary changes coming Jan. 1, 2025
Commercial, individual and Medicare formulary changes coming Jan. 1, 2025
New Medicare Prescription Payment Plan coming Jan. 1, 2025
New Medicare Prescription Payment Plan coming Jan. 1, 2025
Medicaid formulary changes coming Nov. 1, 2024
Medicaid formulary changes coming Nov. 1, 2024.
Ogivri will be added to medical benefit coverage on August 1
Ogivri will be added to medical benefit coverage on August 1
Resource to address GLP-1 shortages
Resource to address GLP-1 shortages and support patient medication adherence
SaveOnSP ended on May 31 for select commercial members
SaveOnSP ended on May 31 for small business commercial groups and individual members.
Changes in TREMFYA coverage coming Apr. 1, 2025
TREMFYA will be removed from coverage effective Apr. 1, 2025
Partnering with Arine for medication adherence
We’re partnering with Arine, our Medication Therapy Management (MTM) vendor, to support medication adherence for Priority Health PPO members who are noncompliant or tracking toward noncompliance with their medication.
Coverage changes coming for Stelara, Yesintek and Selarsdi
Coverage changes coming for Stelara, Yesintek and Selarsdi | Provider | Priority Health
Processes for submitting drug coverage authorization requests
Documenting our processes for submitting drug coverage authorization requests